Adoption
We got a call from the adoption supervisor finally. We don't have a worker, but we're about to hire our own attorney, because from the conservation we had yesterday, sounds like they are gonna try and screw Smiley out of his adoption subsidy, which being medically needy, he needs(just like they tried to get away with paying nothing for Princess' funeral).
I was promised immediately that he would keep the insurance card but then she said, "Don't you have private insurance?" I said, "Yes, but he will max it out very quickly." I didn't argue too much because I figure she didn't really look through his case yet. It is not about the money, but he has many health issues ahead:
1-2 more possible surgeries on mouth and privates
EXTENSIVE oral surgery for him to have teeth at the top of his mouth.
Braces are a definate
He still has significant development delays and getting speech twice a week and occupational therapy once a week.
At this point, we are unsure of of the extent of mental retardation he may have(if any).
He is still having significant feeding issues and having trouble putting weight on.
Many of these may not be covered by the card, or the wait to see a surgeon who accepts the card may be unreasonably long and may have to pay everything out of pocket.
Anyway, I am excited to get the process started,but I didn't expect things to go smoothly, so I'm not really surprised.
I did take Smiley and Bubbles to the doctor today and while the doctor was examining Bubbles she said, "I saw your mom's name in the paper." I about died laughing and almost mentioned that her dad and grandma's name were also in there!
I was promised immediately that he would keep the insurance card but then she said, "Don't you have private insurance?" I said, "Yes, but he will max it out very quickly." I didn't argue too much because I figure she didn't really look through his case yet. It is not about the money, but he has many health issues ahead:
1-2 more possible surgeries on mouth and privates
EXTENSIVE oral surgery for him to have teeth at the top of his mouth.
Braces are a definate
He still has significant development delays and getting speech twice a week and occupational therapy once a week.
At this point, we are unsure of of the extent of mental retardation he may have(if any).
He is still having significant feeding issues and having trouble putting weight on.
Many of these may not be covered by the card, or the wait to see a surgeon who accepts the card may be unreasonably long and may have to pay everything out of pocket.
Anyway, I am excited to get the process started,but I didn't expect things to go smoothly, so I'm not really surprised.
I did take Smiley and Bubbles to the doctor today and while the doctor was examining Bubbles she said, "I saw your mom's name in the paper." I about died laughing and almost mentioned that her dad and grandma's name were also in there!
11 Comments:
At 9:19 AM, Happy Mama to Three said…
Step One I suppose. I hope that it's just a journey, and not a HIKE to get there. Of course the hike will be worth it even if it is, right?
I am so glad the ball is rolling though.
Cindi
At 10:12 AM, Tamara said…
Oh my, so sorry about the fights you have had to endure. Here, we are required to put our adopted child on our private insurance if we have it. In addition, we also keep her medical card which serves as a secondary - that's the law here - they have to go on your insurance if you have it, then the medical card covers the rest. We've never had to pay a dime for anything. The adoption subsidy was just a given for us from the get-go, and put in the contract by the adoption worker. But if you have regs in your state, they will state the cases in which you get a subsidy. Honestly, I can't believe they are jerking your chain like this. I hope you get the max you are entitled to. P.S. - we even still get an amount to cover daycare expenses - not all is covered because of our income, but we get about 5K a year toward daycare (that is reimbursed by us sending in receipts).
I sure hope you get cooperation soon!
At 10:40 AM, Lisa said…
It is riduculously high to add a child to either of our policies, and that's not including copays, deductibles on surgeries then 20% after deductible was met(I think the first two surgeries cost around 100k so 20% is really high).
At 11:13 AM, Anonymous said…
Does Smiley get SSI? If not check into it as well. Our insurance gets applied first and then Medicaid picks ups the rest. The cool thing is we can get into doctors that don't take medicaid patients b/c of the insurance but they have to file it to pay the co-pay so we pay nothing. With a very special needs child this has saved us thousands!! Therapy alone would be costing us a couple thousand a month (7 sessions a week)!
You fight for EVERYTHING!!! Smiley deserves the best...and you are it!
At 12:25 PM, Jo said…
Our state is the same as Cookie's Mom's state. We have to add them to our personal insurance but they do keep their Medical Assistance cards as a secondary which will be nice. We will also be applying for subsidy as we have a LOT OF YEARS of counseling ahead of us to get thru things. Good Luck! Stand up for what you want/need.
At 1:21 PM, happyadoptingmom said…
I recommend getting a lawyer. We did not get a lawyer and ended up with no subsidy and the promised medical for life never appeared.
At 3:17 PM, JUST A MOM said…
maybe the possible not able to insure on your health ins. due to PREESISTING stuff,,,, hang in there and dig in your heals!!!!!!!
At 3:48 PM, GLouise said…
LOL at the doctor's comment. Poor little Bubbles!
At 5:38 PM, Micky said…
By law, they have to keep medicaid for smiley, I thing it is called tittle V, as well as the subsidy. regarding daycare, it depends of your income. Once your adoption is final, You should see if he qualifies for SSI, just keep in mind it is income based, also
At 6:10 PM, Elsa said…
Check out this website ,and look for what your state's guidelines are. Don't settle for anything less, and don't be afraid to ask for more. Smiley deserves it!
http://www.nacac.org/subsidy_stateprofiles.html
At 4:48 PM, Kathy said…
It really is always a fight with this type of adoption, isn't it?!
We're learning this too!
Keep on doing what you're doing, and don't let them get away with not giving the benefits that your little guy needs. It's sad that those of us adopting through the foster care system really do have to fight for everything. Hang in there. I know it's hard at times.
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